Individual
DIANA HOLLENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA.ED., ECE P-3
Contact information
Practice address
900 PACIFIC AVE, EVERETT, WA 98201-4168
(425) 258-7311
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60490899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046882
—
WA
Enumeration date
07/14/2015
Last updated
12/10/2015
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